2006, Number 1
Arch Med Fam 2006; 8 (1)
de Benedetto MA, Janaudis MA, Leoto RF, González- Blasco P
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ABSTRACTObjective: Our aim was to appraise the impact on patients, medical residents, and medical students when exposed to a Family Medicine out-patient physician’s consulting office within a specialty care-focused public health facility without provision of primary care. Design: Qualitative study. Materials and Methods: In the period during which the project was run (14 months, November 2002–December 2003), 350 patients were seen by medical residents and medical students and were supervised by a Family Physician. Results: In accordance with the groups in which impact was appraised, the results were collected into three groups: patients seeking a new medical service due to dissatisfaction with previous medical care, the majority of patients (95%) referred by relatives, other patients, or employees of the medical facility and not by physicians; medical residents, who learned about patient-centered medicine and who became aware of the therapeutic perspective of the physician-patient-family relationship, and medical students, who improved their understanding of Family Medicine and who found motivation for carrying out their academic tasks by means of the relationship they built with patients. Conclusions: A Family Medicine outpatient facility, even when incorporated into a health facility dedicated to delivery of secondary-level specialty medical care, is found by patients, possesses encouraging educational outcomes with medical residents and students and may promote vocations for future Family Physicians.